HARSHAL PATEL D.O.
NPI 1932562931
Family Medicine in Kailua Kona, HI

Active since March 29, 2016PECOS EnrolledAccepts Medicare Assignment
83.15/100
CMS Quality Rating
74-517 HONOKOHAU ST, KAILUA KONA, HI 96740(833) 833-3333 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 4, 2024, Jan 31, 2020, Dec 3, 2019 and 1 more (4 updates tracked since 2016).

About Harshal Patel D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARSHAL PATEL D.O. (NPI 1932562931) is an individual family medicine provider in Kailua Kona, Hawaii, licensed in New York (301791) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kent, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2016).

NPPES Registry Identity

NPI1932562931
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameHARSHAL PATELCredential: D.O.
Location Address74-517 HONOKOHAU STKailua Kona, HI 96740-2715
Mailing Address49 Tottenham PlNew Hyde Park, NY 11040-3516 · (914) 799-4604
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2016
Enumeration DateMarch 29, 2016
Last NPPES UpdateDecember 4, 20244 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
✔ NPI 1932562931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 301791
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
74-517 HONOKOHAU ST, Kailua Kona, HI 96740

Secondary Practice Location 1

Location 126004 104th Ave SEKent, WA 98030-7677 · Phone (425) 251-4040 · Fax (425) 251-4126

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Harshal Patel D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739472978
PECOS Enrollment IDI20251216002759
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Harshal Patel reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Maintenance Organization
3288 MOANALUA RD
Honolulu, HI 96819
  • Reassigned Medicare billing, Hawaii enrollment
  • 1,187 clinicians in this Medicare group
Multi-Specialty
3-3420 KUHIO HWY, SUITE B
Lihue, HI 96766
  • Reassigned Medicare billing, Hawaii enrollment
  • 298 clinicians in this Medicare group
Multi-Specialty
2660 W COVELL BLVD
Davis, CA 95616
  • Reassigned Medicare billing, California enrollment
  • 918 clinicians in this Medicare group
Multi-Specialty
2715 NACHES AVE SW # GSWA1N02
Renton, WA 98057
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
General Acute Care Hospital
EAST HIGHWAY 18
Pine Ridge, SD 57770
  • Reassigned Medicare billing, Texas enrollment
  • 426 clinicians in this Medicare group
Urology
1236 HUFFMAN MILL RD, SUITE 2550
Burlington, NC 27215
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,337 clinicians in this Medicare group
General Acute Care Hospital
#4007 ESTATE DIAMOND RUBY
Christiansted, St. Croix, VI 00821
  • Reassigned Medicare billing, U.S. Virgin Islands enrollment
  • 331 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
81 services51 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
61 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.12
Promoting Interoperability100
Improvement Activities40
Cost69.73

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
74-517 HONOKOHAU ST
KAILUA KONA, HI 96740
Internal Medicine
74-517 HONOKOHAU ST
KAILUA KONA, HI 96740
Physician Assistant
74-517 HONOKOHAU ST
KAILUA KONA, HI 96740
Internal Medicine (Cardiovascular Disease)
74-517 HONOKOHAU ST
KAILUA KONA, HI 96740
Dermatology
74-517 HONOKOHAU ST
KAILUA KONA, HI 96740
Home Health
74-517 HONOKOHAU ST
KAILUA KONA, HI 96740
Audiologist
74-517 HONOKOHAU ST
KAILUA KONA, HI 96740
Psychologist
74-517 HONOKOHAU ST
KAILUA KONA, HI 96740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harshal Patel's NPI number?

The NPI number for Harshal Patel is 1932562931. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Harshal Patel located?

Harshal Patel practices at 74-517 Honokohau St, Kailua Kona, HI 96740. The listed phone number is (833) 833-3333.

What is Harshal Patel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Harshal Patel enrolled in Medicare?

Yes. Harshal Patel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Harshal Patel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harshal Patel reassigns Medicare benefits to 7 organizations: Hawaii Permanente Medical Group Inc (Honolulu, HI), Kauai Medical Clinic (Lihue, HI), Regents Of The University Of California (Davis, CA), Kaiser Foundation Health Plan Of Washington (Renton, WA), Pine Ridge Indian Health Service Hospital (Pine Ridge, SD) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Harshal Patel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Harshal Patel was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.